netINS Web Hosting Service Change Form
Rev: Jan08

You can use this form to switch from one level of netINS Web Hosting to another. Please fax or post mail this form to the address listed below.

  • In order to fill out this form you must have an existing netINS Web Hosting account
  • Please print or type. We will not be able to process incomplete or illegible registrations.
  • This form must be submitted by the Administrative Contact used on the original registration form.

What is the Address of your web site?

Domain Name: ________________________________________

Administrative Contact


Email Address:_________________________________________
**we will send any new settings to this address**


Which service do you currently have?

[  ] netINS Mail Hosting
[  ] netINS Web Hosting Standard
[  ] netINS Web Hosting Business 1
[  ] netINS Web Hosting Business 2
[  ] netINS Web Hosting Business 3
[  ] netINS Web Hosting Business (new)
[  ] netINS Web Hosting Advanced 1
[  ] netINS Web Hosting Advanced 2
[  ] netINS Web Hosting Advanced 3
[  ] netINS Web Hosting Advanced 4

[  ] netINS Web Hosting Advanced (new)

Which service would you like to switch to?

[  ] netINS Mail Hosting - Monthly Charge: $8.99
[  ] netINS Web Hosting Standard - Monthly Charge: $12.99
[  ] netINS Web Hosting Business - Monthly Charge
: $17.99
[  ] netINS Web Hosting Advanced - Monthly Charge
: $29.99

Your signature indicates:
Acceptance of the "netINS Web Hosting Terms and Conditions" (below) -- Agreement to pay for service beginning on the day your account settings are provided to you -- If you have netINS register your domain name signature also signifies that you've agreed to the domain registration terms available at

A Signature is REQUIRED.

Signature: ____________________________________________ Date: ___________

Send this form to:

        netINS, Inc.                       FAX: (515) 830-0345
        Attn: Webmaster                    Voice: (800) 205-1110
        312 8th St., Suite 400
        Des Moines, IA 50309

netINS Internal Use Only

Customer No: __________________ Date Processed: _______

netINS Web Hosting Terms and Conditions

By signing this registration form and agreement, you (customer) agree to the following terms and conditions of the service described below.

These services are provided by netINS, Inc., 4201 Corporate Drive, West Des Moines, IA 50266-5906.

Technical support is available upon activation of your account.

All charges will be billed on your approved credit card as described on the netINS Web Hosting Registration Form. If for any reason a posting to your credit card is not accepted your service may be discontinued. An additional registration fee as well as re-establishment of valid credit will be required to re-establish service.

netINS, Inc. makes no express or implied warranty of any kind. There is no express or implied warranty of merchantability or fitness for a particular purpose for the services to be provided by netINS. netINS makes no attempt to verify accurate receipt of any message and is not responsible for any loss of data resulting from delays, nondeliveries, incorrect deliveries or service interruptions, including those caused by negligence, errors, or omissions of netINS, nor for consequential damages regardless of their cause.

Customer agrees to comply with the terms governing use of the netINS network, as they may change from time to time. Any changes to the terms governing use of the netINS network will be posted as warranted on the netINS computer system.

This agreement shall be governed by and construed in accordance with the laws of the state of Iowa applicable to the contracts to be performed entirely within the state.

Either party may terminate this agreement at any given time by giving written notice. Such notice is effective when given. Customer is obligated to pay for service through the termination date as detailed on the final invoice.

By accessing and using the netINS computer system, user is consenting to system monitoring for law enforcement and other purposes. Unauthorized use of or access to this computer system may subject users to criminal prosecution and penalties. User agrees to indemnify netINS against liability for any and all use of user's account.

netINS reserves the right to refuse placing materials in this account which may be deemed by netINS to be offensive to potential readers, or which may be contrary to state and federal statutes. netINS reserves the right to discontinue providing this service on your behalf for any cause deemed sufficient by netINS.

By signing this agreement, you agree to absolve netINS of any liability for the content and distribution of materials placed in your area by yourself or any other persons or entities. Any questions or disputes which arise in this regard must be corresponded in writing to representatives of netINS.

All text and original graphics copyright 2003 netINS, Inc. All Rights Reserved.